Primary hepatic neuroendocrine tumor with sarcoid like granulomas: A case report

Primary hepatic neuroendocrine tumor (PHNET) is a rare entity comprising 0.3% of all tumors. Tumors coexisting with granulomas are occasionally noted malignancies in the lymph nodes draining or within primary itself. Tumor-related sarcoid reactions only carcinomas and its association NET has been extremely rare. : We report case PHNET 63-year male who presented various comorbidities was incidentally detected liver space-occupying lesion (SOL). Contrast enhanced CT scan abdomen revealed well-defined exophytic mass involving segment 6. Subsequently, 68Ga DOTANOC PET/CT scanning somatostatin receptor-expressing measuring 5.1 x 5.0 cm 6 (SUV MAX 19). A diagnosis either metastatic made non-anatomical wedge resection done detailed exploration abdominal cavity to look for focus that did not reveal any other mass. Histologically, confirmed be Neuroendocrine Tumor along presence tumor-related like adjoining parenchyma. Diagnosis requires combination negative survey at time operative procedure, pathologic evaluation specimen, imaging workup extrahepatic both pre postoperative settings.